Posted on May 9, 2020
Can the VA refuse to treat a 100% service-connected veteran citing their case as "too complex," and also refuse to outsource them for care?
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I have a pretty 'complicated' medical case but the VA continues to refuse at times to even consult with me despite internal VA referrals for the consults. They also refuse to refer me to anyone who possibly CAN help-- or the Mission Act options don't have any providers for the care needed within hours of me. Then they refuse to cover many of the meds that outside specialists suggest, costing me >$3,000 per year out-of-pocket. Is this OK at any level and would anyone have any suggestions for how to get the needed care? This way preceeded COVID-19 issues but continues despite it. I've been told the doctors won't even agree to a telehealth or video health consult at the VA across a few departments and programs. I'd already involved a senator's office a few years back and have made almost no progress. Help, please?
Posted in these groups: 
Department of Veterans Affairs (VA)
Washington
Veteran Benefits Advisor
Team Veteran Foundation
My Veteran Community
Department of Veterans Affairs (VA) Washington Veteran Benefits Advisor Team Veteran Foundation My Veteran Community
Posted >1 y ago
Responses: 433
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You can contact the Patient Advocate at your VA Medical Center
If that doesn't work you, or you don't want to deal with someone at the VA, you can contact your Congressman/woman and talk to their veteran rep. Another option is your county Veteran Service Officer. Keep copies of EVERYTHING... Names, dates, times, what was said, etc.
Regardless of who you contact, you will need to fill out a form to give them permission to represent you. If you think that you need to 'create waves', you can also contact the 'troubleshooter' or investigative journalist at your local TV station
If that doesn't work you, or you don't want to deal with someone at the VA, you can contact your Congressman/woman and talk to their veteran rep. Another option is your county Veteran Service Officer. Keep copies of EVERYTHING... Names, dates, times, what was said, etc.
Regardless of who you contact, you will need to fill out a form to give them permission to represent you. If you think that you need to 'create waves', you can also contact the 'troubleshooter' or investigative journalist at your local TV station
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Write to all of your Congress representatives. The VA cannot legally do this and you should be reimbursed for your expenses.
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File an 1199 Claim for abuse and neglect. If you are 100% under Unemployable, it is possible you would attain 100% Schedule as well as out of (VA) network health care. I helped a friend with the filing, he gained an additional 60% under 1199.
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